Individual provider Active NPI

Yvette Naomi Hernandez, LAC

  • Acupuncturist
  • Wilton Manors, FL
National Provider Identifier
1851814537
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3851 Issued in FL
Practice address
2530 NE 15TH Ave
Wilton Manors, FL 33305-1310
Phone
(954) 304-4752
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3851 FL Primary
Acupuncturist 171100000X AP3851 FL

Addresses

Primary practice location

2530 NE 15TH Ave
Wilton Manors, FL 33305-1310

Mailing address

1130 NE 12TH Ave
Fort Lauderdale, FL 33304-2208
Phone (954) 304-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3851FLMDAcupuncturist
AP3851FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Acupuncture & Herbs Acupuncturist CurrentSince Oct 22, 2023 Accepting new patients

Locations

10000 W Sample Rd
#B
Coral Springs, FL 33065
Phone (954) 752-2950

2530 NE 15th Ave
Wilton Manors, FL 33305
Phone (954) 304-4752

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1851814537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NE 12TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042208",
            "telephone_number": "954-304-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 NE 15TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051310",
            "telephone_number": "954-304-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "YVETTE",
        "middle_name": "NAOMI",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3851",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.